Families Registration Form
Please fill in your details below:
Title
Full Name
Your answer
Full Postal Address
Your answer
Home Phone
Your answer
Mobile Phone
Your answer
Email Address
Your answer
Nationality
Your answer
Religion
Your answer
Are you a one parent family?
Mother's occupation
Your answer
Father's occupation
Your answer
Families Interests
Your answer
Type of childcare help required
Living arrangements
How much weekly pocket money will you pay?
Your answer
How many weekly hours do you need?
Your answer
Which days of the week do you need help?
Required
Please state start and finish times for each day
Your answer
Would you consider a male au-pair?
Do you live in a house or flat?
Number of bedrooms
Number of bathrooms
Pets
Your answer
Names of children
Your answer
Ages of children
Your answer
Gender of children
Your answer
What type of area do you live in?
Nearest Underground
Your answer
Nearest British Rail
Your answer
Nearest language school
Your answer
Distance to language school
Your answer
When would you want the au-pair to start?
Your answer
How long do you want the au-pair to stay?
Your answer
Would you prefer a driver?
Will the au-pair have to use the family car?
Would you prefer a non smoker?
What do you require from an aupair?
Your answer
Will the au-pair have their own...?
Required
What level of English would you accept?
Your answer
Any other information?
Your answer
Please send us a family picture
Please email a a family picture to families@aupairka.co.uk
I agree to the Terms and Conditions (See website)
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms